If you listen, even for a moment, to the talk in overweight communities you will almost always hear that gastric bypass weight loss surgery is the easy way out of Fat Land. People with weak spirits and good insurance get a lucky break, have their stomachs whacked and stapled and lose weight the easy way. Weight Loss Surgery: seen by pious public to be surgical baptism for the guilty gluttonous slothful.

But those of us who step in the water to be cleansed of our fatty sins know better. Weight loss surgery is NOT the easy way out, a simple dunking of the repentant, the sins atoned, and the price paid, the soul and body healed. We know the atonement is paid every day for the rest of our lives when we set our healthy house in order with gastric bypass.

We understand that WLS is not easy. Why, then, does the public think its redemption to weight loss?

First: what the public sees is a rapidly diminishing person recently repaired by gastric bypass. The pounds melt away seemingly in a plain sight. What hides behind the curtain are the ugly demons. Dumping? We dont talk about it. Vomiting? We dont tell our regurgitating stories. Head games driving you insane? Who you going to tell? Who is listening? Exercising? Nobody wants to hear about the E word. So what the public sees front and center stage is a person consistently succeeding at massive weight loss; a person glowing in their own rebirth and betraying the fat and hopeless around them. How else can it be explained? WLS must be the magic pill, the easy-way-out of obesity hell.

Second: the WLS grass-roots public relations machine tells the public gastric bypass is easy, thus we become our own worst enemy. Tell me if this doesnt sound familiar: I can still eat the same things, just less of them! ha ha ha! or how about, I lost 145 pounds and never had to do a moments exercise WLS is fabulous that way no exercise required. And so the popular belief perpetuates that fat glutton slobs can lose weight just by eating less of the same foods and never exercising. Brilliant! How easy is that?

Let me tell you what weight loss surgery is really like for me.

I am six years post-op. Two nights ago I vomited my dinner (bacon-seared sea scallops and green beans) because it was just a bit too greasy for my sensitive stomach. A week before that I became deathly ill, its called dumping, from snacking mindlessly on Chinese chow mein noodles. Disorientation, hot sweats and then cold chills dumping a dire consequence of eating the wrong foods with the malabsorptive system. This morning, just like most mornings, I walked two brisk miles on the treadmill to begin my day. This evening I spent 25 minutes strength training to maintain my muscle tone, keep my metabolism running high and making damn sure I dont regain one single pound.

And this is how it will be for the rest of my life. I will vomit, dump, exercise and be vigilant day in and day out if I want this easy weight loss surgery to work for me.

My body does not take weekends off from weight loss surgery. I dont get chocolate cake just because its my birthday. I do not have a double-cheeseburger with fries and a shake just because Ive had a stressful day and I deserve it. My body is on the gastric-bypass plan 24-7.

Do you think thats easy?

Weight Loss Surgery post-ops understand what Im talking about. Many of us go through a phase of fighting the gastric bypass and engage in snacking or grazing. We out-eat the stomach pouch and regain weight and we become self-loathing. We vomit and dump and do it all over again thinking we can somehow trick the body. Eventually we learn and we get it: WLS is for life.

Weight loss surgery pre-op patients want badly to understand this, but the dieting culture has taught us to be strict for X-number days and then we get a free day. The culture has taught us if we can stick to a plan for X-weeks and lose X-pounds then we can get back to normal. We are all expert dieters by the time we elect to have gastric bypass surgery.

There is no back to normal after WLS it is a lifetime lifestyle commitment.